June 26th & 27th 2010

2010 PICKENS AMATEUR CHAMPIONSHIP ENTRY FORM All Entrants Must Have a Current GHIN Handicap

Entry Form will not be accepted without a GHIN number

 Name_________________________________________________________GHIN #:_____________ 

Address: _______________City:_______________State:_______Zip:_______ Phone:______________

Home Golf Course_______________Phone:_____________ E-Mail Address:___________________

Name of 1 person to play with:_____________________                            

Circle Your Preferred Saturday Tee Time:            7:00-9:00                    or            12:00-2:00 

Make Checks payable to :  Pickens Am                         Entry will not be accepted without payment in full

Mail Entries To:                                                 June 15 Handicap will be used – from GHIN.com

CROSSWINDS GOLF COURSE                                                                                                                     

1031 WILKINSON TRACE    BOWLING GREEN, KY  42103                                     PHONE #:     270-393-3559